Blunt Cerebrovascular Injury

AbstractPurpose of ReviewBlunt cerebrovascular injury (BCVI) can result in significant morbidity and mortality. Early screening, type of medical therapy, timing of medical therapy and the utilization of endovascular interventions are important factors in the management of BCVI.Recent FindingsThe development of screening criteria in the trauma patient population has improved diagnostic yield, allowing for earlier treatment and better outcomes. While different screening criteria schemas have been published, recent literature suggests a universal screening protocol may be justified. Medical therapy using anticoagulation or antiplatelet agents have been the mainstay of treatment. The use of endovascular intervention had support initially but has fallen out of favor and is not currently recommended for routine use.SummaryBCVI management centers on broad screening of the trauma population, early diagnosis and management with anticoagulation or antiplatelet therapy.

Source: Current Surgery Reports - February 28, 2023 Category: Surgery Source Type: research